Four kinds of insurance are essential: fire, liability, automobile, and workers'
compensation insurance. In some areas and in some kinds of business, crime insurance,
which is discussed under "Desirable Coverage," is also essential.
Are you certain that all the following points have been given full consideration in
your insurance program?
FIRE INSURANCE
1. You can add other perils-such as windstorm, hail, smoke, explosion, vandalism and
malicious mischief - to your basic fire insurance at a relatively small additional fee.
2. If you need comprehensive coverage, your best buy may be one of the all-risk
contracts that offer the broadest available protection for the money.
3. The insurance company may indemnify you - that is, compensate you for your losses in
any one of several ways: (1) It may pay actual cash value of the property at the time of
loss. (2) It may repair or replace the property with material of like kind and quality.
(3) It may take all the property at the agreed or appraised value and reimburse you for
your loss.
4. You can insure property you don't own. You must have an insurable interest - a
financial interest - in the property when a loss occurs but not necessarily at the time
the insurance contract is made. For instance, a repair shop or dry-cleaning plant may
carry insurance on customers' property in the shop, or you may hold a mortgage on a
building and insure the building although you don't own it.
5. When you sell property, you cannot assign the insurance policy along with the
property unless you have permission from the insurance company.
6. Even if you have several policies on your property, you can still collect only the
amount of your actual cash loss. All the insurers share the payment proportionately.
Suppose, for example, that you are carrying two policies one for $20,000 and one for
$30,000 - on a $40,000 building, and fire causes damage to the building amounting to
$12,000. The $20,000 policy will pay $4,800, The $30,000 policy will pay $7,200;
7. Special protection other than the standard fire insurance policy is needed to cover
the loss by fire of accounts, bills, currency, deeds, evidence of debt and money and
securities.
8. If an insured building is vacant or unoccupied for more than 60 consecutive days,
coverage is suspended unless you have a special endorsement to your policy canceling this
provision.
9. If, either before or after a loss, you conceal or misrepresent to the insurer any
material fact or circumstance concerning your insurance or the interest of the insured,
the policy may be voided.
l0. If you increase the hazard of fire the insurance company may suspend your coverage
even for losses not originating from the increased hazard. (An example of such a hazard
might be renting part of your building to a cleaning plant.)
11. After a loss, you must use all reasonable means to protect the property from
further loss or run the risk of having your coverage canceled.
12. To recover your loss, you must furnish within 60 days (unless an extension is
granted by the insurance company) a complete inventory of the damaged, destroyed and
undamaged property showing in detail quantities, costs, actual cash value and amount of
loss claimed.
13. If you and the insurer disagree on the amount of loss, the question may be resolved
through special appraisal procedures provided for in the fire-insurance policy.
14 You may cancel your policy without notice at any time and get part of the premium
returned. The insurance company also may cancel at any time with a 5-day written notice to
you.
15. By accepting a coinsurance clause in your policy, you get a substantial reduction
in premiums. A coinsurance clause states that you must carry insurance equal to 80 or 90
percent of the value of the insured property. If you carry less than this, you cannot
collect the full amount of your loss, even if the loss is small. What percent of your loss
you can collect will depend on what percent of the full value of the property you have
insured it for.
16. If your loss is caused by someone else's negligence, the insurer has the right to
sue this negligent third party for the amount it has paid you under the policy. This is
known as the insurer's right of subrogation. However, the insurer will usually waive this
right upon request. For example, if you have leased your insured building to someone and
have waived your right to recover from the tenant for any insured damages to your
property, you should have your agent request the insurer to waive the subrogation clause
in the fire policy on your leased building.
17. A building under construction can be insured for fire, lightning, extended
coverage, vandalism and malicious mischief.
Liability
1. Legal liability limits of $1 million are not considered high or unreasonable even
for a small business.
2. Most liability policies require you to notify the insurer immediately after an
incident on your property that might cause a future claim. This holds true no matter how
unimportant the incident may seem at the time it happens.
3. Most liability policies, in addition to bodily injuries, may now cover personal
injuries (libel, slander and so on) if these are specifically insured.
4. Under certain conditions, your business may be subject to damage claims even from
trespassers.
5. You may be legally liable for damages even in cases where you used "reasonable
care."
6. Even if the suit against you is false or fraudulent, the liability insurer pays
court costs, legal fees and interest on judgments in addition to the liability judgments
themselves.
7. You can be liable for the acts of others under contracts you have signed with them.
This liability is insurable.
8. In some cases you may be held liable for fire loss to property of others in your
care. Yet, this property would normally not be covered by your fire or general liability
insurance. This risk can be covered by fire legal liability insurance or through
requesting subrogation waivers from insurers of owners of the property.
Automobile Insurance
1. When an employee or a subcontractor uses a car on your behalf, you can be legally
liable even though you don't own the car or truck.
2. Five or more automobiles or motorcycles under one ownership and operated as a fleet
for business purposes can generally be insured under a low-cost fleet policy against both
material damage to your vehicle and liability to others for property damage or personal
injury.
3. You can often get deductibles of almost any amount and thereby reduce your premiums.
4. Automobile medical-payments insurance pays for medical claims, including your own,
arising from automobile accidents regardless of the question of negligence.
5. In most States, you must carry liability insurance or be prepared to provide other
proof (surety bond) of financial responsibility when you are involved in an accident.
6. Even if the suit against you is false or fraudulent, the liability insurer pays
court costs, legal fees and interest on judgments in addition to the liability judgments
themselves.
7. You can be liable for the acts of others under contracts you have signed with them.
This liability is insurable.
8. In some cases you may be held liable for fire loss to property of others in your
care. Yet, this property would normally not be covered by your fire or general liability
insurance. This risk can be covered by fire legal liability insurance or through
requesting subrogation waivers from insurers of owners of the property.
Desirable Coverages
Some types of insurance coverage, while not absolutely essential, will add greatly to
the security of your business. These coverages include business-interruption insurance,
crime insurance, glass insurance and rent insurance.
Business Interruption Insurance
1. You can purchase insurance to cover fixed expenses that would continue if a fire
shut down your business - such as salaries to key employees, taxes, interest. depreciation
and utilities - as well as the profits you would lose.
2. Under properly written contingent business - interruption insurance, you can also
collect if fire or other peril closes down the business of a supplier or customer and this
interrupts your business.
3. The business - interruption policy provides payments for amounts you spend to hasten
the reopening of your business after a fire or other insured peril.
4. You can get coverage for the extra expenses you suffer if an insured peril while not
actually closing your business down, seriously disrupts it.
5. When the policy is properly endorsed,
you can get business-interruption insurance to indemnify you if your operations are
suspended because of failure or interruption of the supply of power, light, heat, gas or
water furnished by a public utility company.
Crime Insurance
1. Burglary insurance excludes such property as accounts, fur articles in a showcase
window and manuscripts.
2. Coverage is granted under burglary insurance only if there are visible marks of the
burglar's forced entry.
3. Burglary insurance can be written to cover, in addition to money in a safe,
inventoried merchandise and damage incurred in the course of a burglary.
4. Robbery insurance protects you from loss of property, money and securities by force,
trickery or threat of violence on or off your premises.
5. A comprehensive crime policy written just for small business owners is available. In
addition to burglary and robbery, it covers other types of loss by theft, destruction and
disappearance of money and securities. It also covers thefts by your employees.
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Glass Insurance
1. You can purchase a special glass insurance policy that covers all risk to
plate-glass windows, glass signs, motion-picture screens, glass brick, glass doors,
showcases, countertops and insulated glass panels.
2. The glass-insurance policy covers not only the glass itself, but also its lettering
and ornamentation, if these are specifically insured, and the costs of temporary plates or
boarding up when necessary.
3. After the glass has been replaced, full coverage is continued without any additional
premium for the period covered.
Rent Insurance
1. You can buy rent insurance that will pay your rent if the property you lease becomes
unusable because of fire or other insured perils and your lease calls for continued
payments in such a situation.
2. If you own property and lease it to others, you can insure against loss if the lease
is canceled because of fire and you have to rent the property again at a reduced rental.
Employee Benefit Coverages
Insurance coverages that can be used to provide employee benefits include group life
insurance, group health insurance, disability insurance and retirement income.
Key-man insurance protects the company against financial loss caused by the death of a
valuable employee or partner.
Disability Insurance
1. Workers' compensation insurance pays an employee only for time lost because of work
injuries and work-related sickness- not for time lost because of disabilities incurred off
the job. But you can purchase, at a low premium, insurance to replace the lost income of
workers who suffer short-term or long-term disability not related to work.
2. You can get coverage that provides employees with an income for life in case of
permanent disability resulting from work related sickness or accident.
Organizing Your Insurance Program
A sound insurance protection plan is just as important to the success of your business
as good financing, marketing, personnel management or any other business function. And
like the other functions, good risk and insurance management is not achieved by accident,
but by organization and planning.
A lifetime of work and dreams can be lost in a few minutes if your insurance program
does not include certain elements.
To make sure that you are covered, you should take action in four distinct ways:
1. Recognize the various ways you can suffer loss.
2. Follow the guides for buying insurance economically.
3. Organize your insurance-management program.
4. Get professional advice.
Recognize the risks. The first step toward good protection is to recognize the
risks you face and make up your mind to do something about them. Wishful thinking or an
it-can't-happen-to-me attitude won't lessen or remove the possibility that a ruinous
misfortune may strike your business.
Some businesses will need coverages not mentioned in the checklist. For example, if you
use costly professional tools or equipment in your business, you may need special
insurance covering loss or damage to the equipment or business interruption resulting from
not being able to use the equipment.
Study insurance costs. Before you purchase insurance, investigate the methods by
which you can reduce the costs of your coverage. Be sure to cover the following points:
1. Decide what perils to insure against and how much loss you might suffer from each.
2. Cover your largest loss exposure first.
3. Use as high a deductible as you can afford.
4. Avoid duplication in insurance.
5. Buy in as large a unit as possible. Many of the "package policies" are
very suitable for the types of small businesses they are designed to serve, and often they
are the only way a small business can get really adequate protection.
6. Review your insurance program periodically to make sure that your coverage is
adequate and your premiums are as low as possible yet consistent with sound protection.
Have a plan. To manage your insurance program for good coverage at the lowest
possible cost, you will need a definite plan that undergirds the objectives of your
business. Here are some suggestions for good risk and insurance management:
1. Write down a clear statement of what you expect insurance to do for your firm.
2. Select only one agent to handle your insurance. Having more than one may spread and
weaken responsibility.
3. If an employer or partner is going to be responsible for your insurance program, be
sure he/she understands the responsibility.
4. Do everything possible to prevent losses and to keep those that do occur as low as
possible.
5. Don't withhold from your insurance agent important information about your business
and its exposure to loss. Treat your agent as a professional helper.
6. Don't try to save money by underinsuring or by not covering some perils that could
cause loss, even though you think the probability of their occurring is very small. If the
probability of loss is really small, the premium will also be small.
7. Keep complete records of your insurance policies, premiums paid, losses and loss
recoveries. This information will help you get better coverage at lower costs in the
future.
8. Have your property appraised periodically by independent appraisers. This will keep
you informed of what your exposures are, and you will be better able to prove what your
actual losses are if any occur.
Get professional advise about your insurance. Insurance is a complex and
detailed subject. A professionally qualified agent, broker or consultant can explain the
options, recommend the right coverage and help you avoid financial loss.
ADJUSTER. A person who settles insurance claims. An adjuster may be a Travelers
employee or an independent operator.
ADJUSTMENT. The settlement of a claim; final premium determination.
AGENT'S AUTHORITY. The authority placed in the agent by the insurance company; the
extent to which the agent may act on behalf of the company. This authority is defined by a
contract between the agent and the company.
ALL-RISK. A term commonly used to describe broad forms of Property or Liability
coverages. It is misleading because no Property or Liability Policy is truly an ALL-RISK
coverage. A Policy will invariably contain some exclusions.
APPRAISAL. An estimate of value, loss or damage.
ASSIGNED RISK. A risk that has been declined by one or more companies. Such a risk may
be assigned to designated companies by a recognized authority. The operation is called an
Assigned Risk Plan.
ASSURED. The insured; the one for whom insurance is written.
BASIC BENEFITS. Basic benefits, generally, are all the benefits offered by a group
health plan except major medical. Basic benefits may include hospital, surgical and
medical expense insurance: supplemental accident, diagnostic lab and X-ray, radiation
therapy and dental expense insurance.
BENEFICIARY. A person who will receive policy benefits.
BENEFIT FORMULA. A benefit formula defines the amounts of life insurance that may be
purchased for employees in a specific classification (salary, occupation, length of
service).
BENEFIT. That amount payable under an insurance policy because of an accident, injury
or illness.
BINDER. An agreement, usually written, whereby one party agrees to insure another party
pending receipt of a final action upon the application.
BUSINESS INTERRUPTION. Insurance covering the loss of earnings resulting from the
destruction of property: called Use and Occupancy Insurance.
CANCELLATION. The terminating of an insurance contract by either the insurance company
or the insured.
CARRIER. An insurance company.
CASH DEDUCTIBLE. The amount of money an insured must pay for covered expenses before
certain benefits can begin.
CASH VALUE. The value, in cash, of a life insurance policy.
CASUALTY. An accident, occurrence or event; the person to whom it happens; the general
insurance term applied to insurance coverages for an accident, occurrence or event.
CERTLET. A booklet that describes the benefits and all the provisions of a group policy
that affect the insured. The certlet becomes a certification of insurance when the person
is eligible for the insurance. It is then the legal document that proves the person is
actually insured.
CLAIM. A request by an insured for benefits under an insurance policy.
COINSURANCE. Two or more entities providing insurance protection and sharing in losses.
COMPENSATION. Wages, salaries, awards, fees, commissions; any return in payment for a
financial loss.
COMPREHENSIVE. A loosely used term signifying broad or extensive insurance coverage.
CONTRIBUTORY. A group insurance plan that is paid partly by employees' contributions
and partly by the employer's contributions.
CONTRIBUTORY NEGLIGENCE. Partial responsibility for one's own injury or damage.
COVERAGE. The insurance protection provided by the policy.
DECLARATIONS. That part of an insurance policy containing the information about the
applicant that the applicant listed on the application for insurance.
DEDUCTIBLE. An amount the insured must pay before insurance benefits may be paid.
DISCOUNT. A reduction applied to an insurance premium because of good experience, for
example.
DRAFT. A financial instrument similar to a check frequently used by insurance companies
to pay losses.
EFFECTIVE DATE. The date the policy is put in force; the inception date.
ENDORSEMENT. A written amendment affecting the declarations, insuring agreements,
exclusions or conditions of an insurance policy; a rider.
EVIDENCE OF INSURABILITY, Medical proof, from either a questionnaire or a physical
examination, that an applicant, employee or dependent is healthy and, therefore,
insurable.
EXAMINER. An individual who reviews, evaluates and processes claims.
EXCLUSION. That which is expressly eliminated from the coverage of an insurance policy.
EXPIRATION DATE. The date an insurance policy terminates.
EXPOSURE. Person or property, injury to whom or damage to which will cause an economic
loss.
FACE AMOUNT. In life insurance, the amount of basic coverage stated on the face of the
policy.
GRACE PERIOD. A period beyond the premium-due date, during which the premium may be
paid and the insurance will be continued in force.
GROUP INSURANCE. Insurance covering a group of employees.
HAZARD. A condition that creates or increases the probability of a loss.
HEALTH INSURANCE. Commonly called Accident and health Insurance, protection against
financial loss from a personal accident or illness.
INCURRED LOSS. A loss that, while not yet paid, has been sustained and for which
reserves have been established to pay in the future.
INDEMNITY. Insurance protection that will place the insured in the same financial
position as before a loss was sustained.
INSPECTION. An examination by those having authority. An insurance company usually
reserves the right to inspect any property it insures.
INSURANCE. Protection against loss. The insured sacrifices a small certain loss (the
premium) for protection against a large uncertain loss (an accident, fire, death). The
insurance company assumes the risk by employing the law of large numbers and the principle
of risk spreading.
INSURED. The entity whose life or property is protected by the insurance. The one for
whom insurance is written.
LAPSE. To fail to continue an insurance policy; to cease to provide insurance
protection.
LIABILITY. Being bound by law and justice to do something that may be enforced by the
courts.
LIMITS. The value or amount of a policy; the greatest amount that can be collected
under the policy.
LOSS. In insurance, the amount the insurer is required to pay because of an insurer's
loss.
MULTI PERIL. An insurance policy that provides coverage against many perils. Sometimes
called a "package" policy.
OCCURRENCE. A continuance of a repeated exposure to conditions which result in injury.
PERIL. Anything that may cause a loss (cause of a possible loss).
POLICY. A legal contract of insurance.
POLICYHOLDER. The owner of the policy; the one who purchases the policy and pays the
premiums.
POLICY PERIOD. The term for which insurance remains in force, sometimes definite,
sometimes not.
PREMIUM. The cost of an insurance policy. The charge the policyholder pays for the
insurance protection.
PROPERTY. The thing owned; real property is real estate and things attached to it;
anything else is personal property.
PROPERTY DAMAGE. Physical damage to property.
PROVISIONS. The terms or conditions of an insurance policy.
RATE. Cost per unit of insurance.
REINSTATE. To restore coverage after it has been canceled or suspended.
REINSURANCE. Insurance placed by an underwriter in another company to reduce the amount
of the risk his or her company has assumed.
RENEW. To continue; to replace as with a new policy.
RIDER. An endorsement.
SCHEDULE OF BENEFITS. The amount of insurance for which each classification of
employees is eligible. (Classifications can be based on salary, wage, occupation or length
of service.)
SELF-INSURANCE. An arrangement where, instead of purchasing an insurance policy, a
party maintains a reserve fund to protect it against a loss.
SETTLEMENT OPTION. The way in which money for the death benefit of an insurance policy
will be paid to a beneficiary.
SURETY. A guarantee that a person, normally called the principal, will perform
according to a statute or a contract. Surety offers protection to a third party, normally
called an obligee.
UNDERWRITER. The insurance company; a party assuming the risk; the person performing
the underwriting function.
VOID. Of no force; null.
WAITING PERIOD. A period immediately after the inception of the policy, during which no
benefits will be paid even if a loss occurs. Pertains to health insurance.
WAIVER OF PREMIUM. In life insurance, a provision which states that, if the insured
becomes disabled and the disability appears total and permanent, the insurance policy will
continue in full force without further payment or premium.
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